Organization
WEST POINT ACQUISITION CORP
Active
Other names
GLOUCESTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON HODGES (PRES PIC)
(804) 694-5815
Entity
Organization
Contact information
Practice address
7453 HARGETT BLVD, GLOUCESTER, VA 23061-2038
(804) 694-5815
(804) 695-0216
Mailing address
PO BOX 9, GLOUCESTER, VA 23061-0009
(804) 694-5815
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003531
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102936
PK
—
05
—
8505161
—
VA
Enumeration date
10/13/2006
Last updated
03/01/2017
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